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Individual

DR. RICARDO R GONZALES

Active
Find providers by NPI
Individual

DR. RICARDO R GONZALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3779
NM
103TC0700X
Clinical Psychologist
Primary
414
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
N1903
NM
05
N6708
NM
05
N6708/N1903
NM
Enumeration date
12/22/2005
Last updated
01/14/2014
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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